Mackenzie Danielle Hazzard, is a
Student In An Organized Health Care Education/training Program based in Davis Junction, Illinois. Mackenzie Danielle Hazzard is licensed to practice in * (Not Available) (license number ) and her current practice location is
5665 N Junction Way, Davis Junction, Illinois. She can be reached at her office (for appointments etc.) via phone at
(779) 696-9200.
NPI number for Mackenzie Danielle Hazzard is 1568295459 and her current mailing address is 3077 S Weldon Rd, Rockford, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568295459.
Provider's Profile
| Full Name | Mackenzie Danielle Hazzard |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 5665 N Junction Way, Davis Junction, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568295459
- Provider Enumeration Date: 08/26/2024
- Last Update Date: 10/04/2024
Medical Identifiers
Medical identifiers for Mackenzie Danielle Hazzard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568295459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 209030723 (Illinois) | Secondary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mackenzie Danielle Hazzard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mackenzie Danielle Hazzard,
3077 S Weldon Rd,
Rockford, IL 61102-3645
Ph: (815) 218-9716 | Mackenzie Danielle Hazzard,
5665 N Junction Way,
Davis Junction, IL 61020-9433
Ph: (779) 696-9200 |
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